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Updated: Oct 25, 2025

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How we do it: 'tonsil swabs please' - an alternative use in open neck surgery.
The Journal of Laryngology and Otology
|August 11, 2021
Summary
Protecting skin edges during neck surgery is crucial for cosmetic outcomes. This study introduces a simple method using tonsil swabs to prevent thermal damage from heated instruments, ensuring better results.
Area of Science:
- Otolaryngology
- Surgical Techniques
Background:
- Heated instruments in thyroid and parathyroid surgery risk thermal damage to skin edges, impacting cosmetic results.
- Standard tonsil swabs are used for bleeding control in head and neck procedures.
Purpose of the Study:
- To describe an alternative application of tonsil swabs for protecting wound edges during neck surgery.
Main Methods:
- Damp tonsil swabs are sutured onto wound edges after skin incision.
- Swabs remain in place throughout the surgical procedure.
- Swabs are removed upon skin closure.
Main Results:
- Tonsil swabs effectively protect skin edges from accidental thermal injury.
- No complications were reported with this protective technique.
Conclusions:
- A simple, effective, and practical method for skin protection during neck procedures is presented.
- This technique utilizes readily available resources in an ENT operating theatre.
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